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Rethinking Transactional Sex in Humanitarian Settings: Reflections for the way forward

Transactional Sex (TS) is often used as an umbrella term to encompass a wide range of practices ranging from sex work to sexual exploitation and abuse. TS is typically framed in humanitarian settings through reductive lenses that portray the person engaged in them as without agency, forced into “negative coping strategies” by a larger crisis. Academics and practitioners have challenged these dominant framings in the Transactional Sex in Humanitarian Contexts panel as part of the 6th International Humanitarian Studies Conference. The presentations highlighted both the complexity and the nuanced nature of TS in different contexts, and common trends spanning a broad spectrum of humanitarian and displacement settings, including Bangladesh, the Democratic Republic of the Congo (DRC), France, Greece, Jordan, Lebanon, Pakistan, Sudan, Switzerland, Syria, and Turkey. The panel offered a reflection of the ideologies and frameworks implicit in humanitarian operations, which can blind us to the diverse needs and strategies of those engaged in transactional sex.

Transactional sex in humanitarian contexts: contemporary paradigms and interpretations

Transactional sex is the exchange of sex for cash, goods, services, commodities, or privileges. It is often framed by humanitarians as a form of violence in and of itself. Characterised by victim/saviour relationships and rescue narratives, these problematic and essentialising representations can have real world implications on policy and programming, along with unintended, often negative impacts on the lives of those engaged in them. To further complicate matters, there is a lack of conceptual clarity, and standardised and consistent use of terminology, such that what many describe as “transactional sex” is commonly conflated and used interchangeably with survival sex, sexual exploitation and abuse, sex work or sex trafficking.

Transactional sexual relationships exist on a spectrum encompassing various states of consent, power, emotional attachment, economic compensation, and social acceptability. All panelists highlighted that the lived experiences of those engaged in transactional sex do not align well with these monolithic representations, and are rather shaped by numerous structural factors, relating to historical pathways of patriarchy, conflict conditions, and other social, economic, and individual factors that often intersect with intimate consensual relationships. There is growing recognition that interpretations of transactional sexual relationships are culturally determined and constructed, and that this work involves complex negotiation of strategies of agency. Transactional sex occurs against a backdrop of gendered social norms, which are constantly shifting, and may vary between and within countries and communities.

Limitations and challenges of the current discourse

This is not to say that transactional sex is necessarily a safe or desirable livelihood strategy. Transactional sexual relationships are shaped by various structural drivers and conditions that are often created by migration, and aid policies and politics, among other inherent power disparities that entail risks of gender-based violence, and negative impacts on sexual and reproductive health. However, it is crucial to recognise that individuals weigh such risks in relation to their own lives and define what safety and protection means for them. This is further shaped by other factors relating to sexual orientation, gender identity and expression, social and cultural factors, and disability, for example. Research and empirical insights from practitioners are increasingly challenging the erasures of non-heteronormative experiences of transactional sex and calling for more intersectional approaches in research and programming.

People engaging in transactional sex and civil society groups, including human rights defenders, health advocates, sex worker-led organisations, NGOs, and grassroots movements, have already provided rich empirical insights and recommendations across a wide-range contexts, which, however, have not been taken up meaningfully by the humanitarian community. For example, in the post-panel Q&A it was highlighted how the Women´s Refugee Commission (WRC) Working with Refugees Engaged in Sex Work: A Guidance Note for Humanitarians, issued in 2016, might have been overshadowed by the #Aidtoo movement in 2017, and how a moral panic seldom allows for nuance and complexity. Moreover, we may also need to recognise that not all those who engage in TS identify as sex workers, and humanitarian actors do not necessarily see TS as sex work, which may be why such guidance can be interpreted very narrowly.  More recently, UNHCR and UNFPA launched the operational guideline Responding to the health and protection needs of people selling or exchanging sex in humanitarian settings  (2021) which will hopefully provide a clearer framework going forward in this regard.

The way forward: Rethinking transactional sex policy and programmes.

It is crucial to examine whose knowledge, voice, and power drives policy – or lack of it – on issues around TS, and how people engaged in TS in humanitarian settings, including migrants and refugees, become problematised, supported, and intervened upon by institutions based on vulnerabilities associated with and/or biases regarding gender, sexual behaviour and orientation. It is worth reflecting on why some experiences are omitted or marginalised, and how conditions of vulnerabilities are created by these very same institutions.

Transactional sex will continue to be a coping strategy for many individuals who make complex decisions and tradeoffs in humanitarian and displacement settings. Sometimes it may be the least risky option compared to the available alternatives. Bringing in the perspectives from and lived experiences of people engaging in transactional sex offers a crucial step in understanding their lives, decision-making process, desires, needs, or wants, and understanding. This includes, for example, the structural conditions and policies imposed by governments and humanitarian institutions that drive people into this practice, as well as considerations about whether they want to continue to engage in transactional sex safely or find other strategies. Ensuring sustainable and inclusive programming, and refraining from causing harm by perpetuating stigma and exclusion, centres on this more holistic reimagining of the issue of transactional sex as a complex social phenomenon.

Opinions expressed in Bliss posts reflect solely the views of the author of the post in question.

About the authors:

Clea Kahn has nearly 25 years of experience in the humanitarian sector in Africa, South Asia, and Southeast Asia. She holds an LL.M. in international human rights law, an MSc in psychology, and is currently pursuing a doctorate in counselling psychology. Clea focuses on protection of civilians, gender-based violence and migration/refugee issues, and is a member of the ListenH project: Livelihoods and transactional sex in Humanitarian Crises. She can be contacted at cleakahn@cleakahn.com.

Michelle Alm Engvall is a cultural anthropologist with a specialty in sex work and humanitarian action. Her research focuses on how framed understandings of transactional sex influence policy and programming and how this can lead to unintended consequences for affected populations. She can be contacted at michelle.a.engvall@gmail.com

Shirin Heidari is a senior researcher at the Global Health Centre, and research affiliate at the Gender Centre, Graduate Institute of International and Development Studies in Geneva. She is the principal investigator of a multi-country multi-disciplinary research on transactional sex and health repercussions in forced displacement. She can be contacted at: shirin.heidari@graduateinstitute.ch

Megan Denise Smith is a humanitarian worker and gender-based violence specialist with ten years of experience working with migrants and refugees in Bangladesh, Egypt, Lebanon, Rwanda, and the UK. She is currently based in Cox’s Bazar, Bangladesh with the International Organization for Migration (IOM) where she has managed IOM´s GBV programming as part of the Rohingya refugee response since 2017. She can be contacted at megandenisesmith@gmail.com

Dorothea Hilhorst

Dorothea Hilhorst is professor of Humanitarian Studies at the International Institute of Social Studies of Erasmus University. Her focus is on aid-society relations: studying how aid is embedded in the context. She coordinates the ListenH project: Livelihoods and transactional sex in Humanitarian Crises. Email: hilhorst@iss.nl Twitter: @hilhorst_thea

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Human Trafficking | The criminalisation of sex clients will not help combat human trafficking

Starting in 2014, World Day Against Trafficking in Persons has been held on 30 July each year. The events that correspond to these days are meant to raise awareness about the crime of human trafficking and the protection of the rights of trafficked persons. In the month of September, we are publishing a series on critical engagements with interventions to combat human trafficking. The series opens with Marie-Louise Janssen’s and Silke Heumann’s critical discussion of a new law that seeks to protect victims of human trafficking in the sex industry of the Netherlands, but is unlikely to do so.

The [Dutch] Senate recently passed the Criminalization of Abuse of Prostitutes Who Are Victims of Human Trafficking Act. The bill, submitted by the Christian Union, PvdA, SP and CDA – four prominent political parties in the Netherlands – creates the possibility to punish clients of sex workers when they are found to have known, or to have had “serious reason to suspect”, that someone has been forced into prostitution and is therefore a victim of human trafficking. Those clients can be fined or imprisoned for up to four years.

However, both experiences of sex workers and scientific research on human trafficking show that any form of criminalisation of clients does not prevent human trafficking, but actually increases the vulnerability of sex workers to coercion and violence. Therefore, this law raises many questions.

First, when is someone a victim? Often, ‘unlicensed’ sex workers are equated with victims of exploitation and trafficking. But the increase in the group of sex workers working outside the licensed circuit (popularly called ‘illegal’) is mainly caused by policy – a policy that leads to fewer and fewer licensed workplaces combined with a ban on self-employment.

Secondly, when does legal sex turn into ‘punishable’ sex? If we take the signals of human trafficking used by the police as a guideline, such as illegal residence in the Netherlands and having high debts, quite a few people fall under this category. Does this mean that having sex with a sex worker who has debts or not the right papers is already a crime? And should the sex worker also see herself as a victim? We know from research that only a small proportion of people who are considered victims of trafficking by the government see themselves as such.

Unclear definitions

So while the government comes up with unclear definitions of victimisation, customers are expected to recognise a victim and report it to the police. As a result, customers are now at risk of being criminalised because they “could have suspected” it. Not surprisingly, a recent study shows that customers are less willing to report exploitation or coercion for fear of criminal prosecution.

Third, why does criminalisation apply only to addressing abuse of trafficking victims in the sex industry, and not to victims in other economic sectors? This only contributes to the perception that sex work and human trafficking are the same thing, and thus to the stigma attached to sex work. It seems that this law has little to do with countering violence and abuse, but much more to do with the taboo on paid sex.

In the Netherlands, sex work has been a legal employment sector since 2000. Despite this, we have difficulty with the idea of sexual services. For example, clients are often portrayed as ‘certain kind of men’ who despise women and treat or exploit sex workers violently. Oversimplification is one of the main ways of creating and perpetuating the stereotypes that form the basis for stigmatising clients.

This act stems from the taboo of paid sex

However, in addition to the market for male clients, there is also a growing market in the Netherlands for services to female clients. Business manager Lex of De Stoute Vrouw had to temporarily close her business due to the lockdown, but she is still in daily contact with female homosexual and heterosexual clients who cannot wait to reopen. Eight out of ten of her clients have gone through an unpleasant experience regarding sexuality and find their sexual pleasure again through contact with a female sex worker.

Heteronormative picture

Sex work challenges our idea of how sex should be: based on love and a permanent relationship. But not everyone finds this romantic ideal attainable or desirable, and not everyone fits into this heteronormative picture of a heterosexual couple in a long-term, monogamous relationship. The sex industry meets a need by creating a place where men, women, transgender and non-binary people can meet to explore their bodies and sexuality.


This article was earlier published in the Dutch newspaper NRC Handelsblad.

Opinions expressed in Bliss posts reflect solely the views of the author of the post in question.

About the authors:

Marie-Louise Janssen is senior lecturer in gender and sexuality studies (UVA).

Silke Heumann is senior lecturer at ISS/EUR.

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